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童年期性虐待幸存者的自我同情与心理健康:以情绪失调和创伤相关羞耻感为中介变量

Self-Compassion and Psychological Well-Being of Childhood Sexual Abuse Survivors: Emotional Dysregulation and Trauma-Related Shame as Mediators.

作者信息

Blankenship Paige, Hogge Ingrid

机构信息

Portage Path Behavioral Health, Akron, OH, USA.

University of North Texas, Denton, USA.

出版信息

J Interpers Violence. 2025 Aug;40(15-16):3431-3451. doi: 10.1177/08862605241268781. Epub 2024 Aug 26.

DOI:10.1177/08862605241268781
PMID:39183692
Abstract

In this study, we explored explanations for the link between self-compassion and psychological well-being among a sample of adult childhood sexual abuse (CSA) survivors in the United States ( = 335). Informed by Neff's self-compassion theory, we hypothesized that the relationship between self-compassion and psychological well-being would be partially explained by a reduction in emotional dysregulation and trauma-related shame. We tested a parallel multiple mediation model with (a) emotion dysregulation and (b) trauma-related shame as the mediators. As hypothesized, we found a significant positive relationship between self-compassion and psychological well-being among the sample of CSA survivors. Emotional dysregulation and trauma-related shame were both significant mediators of this relationship. However, self-compassion had a significant direct effect even after accounting for the two mediators, which suggests partial mediation. Our results provide further support for the link between self-compassion and psychological well-being and identify reductions in both emotional dysregulation and trauma-related shame as potential mechanisms for this relationship. This study also has implications for clinical practice and prevention efforts that integrate self-compassion, emotion regulation, and trauma-related shame as salient areas of focus.

摘要

在本研究中,我们在美国335名成年童年期性虐待(CSA)幸存者样本中,探究了自我同情与心理健康之间联系的解释因素。基于内夫的自我同情理论,我们假设自我同情与心理健康之间的关系将部分由情绪失调和创伤相关羞耻感的减少来解释。我们测试了一个平行多重中介模型,其中(a)情绪失调和(b)创伤相关羞耻感作为中介变量。如我们所假设的,我们在CSA幸存者样本中发现自我同情与心理健康之间存在显著的正相关关系。情绪失调和创伤相关羞耻感都是这种关系的显著中介变量。然而,即使在考虑了这两个中介变量之后,自我同情仍有显著的直接效应,这表明存在部分中介作用。我们的研究结果为自我同情与心理健康之间的联系提供了进一步支持,并确定情绪失调和创伤相关羞耻感的减少是这种关系的潜在机制。本研究还对将自我同情、情绪调节和创伤相关羞耻感作为重点关注领域的临床实践和预防工作具有启示意义。

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